Individual provider Active NPI

Kristel Marianne Berdugo, O.T.R

  • Occupational Therapist
  • Miami, FL
National Provider Identifier
1851621825
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT13476 Issued in FL
Practice address
1221 SW 27TH Ave
Suite 301
Miami, FL 33135-4765
Phone
(786) 486-0285
Fax
(305) 260-9177
NPI assigned
Jan 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT13476 FL Primary

Addresses

Primary practice location

1221 SW 27TH Ave
Suite 301
Miami, FL 33135-4765

Mailing address

1221 SW 27TH Ave
Suite 301
Miami, FL 33135-4765
Phone (786) 486-0285

Other identifiers 1

IdentifierTypeStateIssuer
OT13475OtherFLSTATE OF FLORIDA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1851621825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 SW 27TH AVE",
            "address_2": "SUITE 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331354765",
            "telephone_number": "786-486-0285",
            "fax_number": "305-260-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 SW 27TH AVE",
            "address_2": "SUITE 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331354765",
            "telephone_number": "786-486-0285",
            "fax_number": "305-260-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERDUGO",
        "first_name": "KRISTEL",
        "middle_name": "MARIANNE",
        "credential": "O.T.R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT13476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA",
            "identifier": "OT13475",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.